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What Causes Inability To Move The Tongue To One Side In Child?

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Posted on Fri, 21 Aug 2015
Question: My almost 2 year old (in 2 weeks) only sticks his tongue out to the left side and straight. I cannot get him to stick it out to the right. He can definitely seem to stick it out straight, though he doesn't do it very far. He does the pointy cute tongue thing to the left. I have tried to make it a game, but he won't do the right side. I took him to doctor about this a few months ago, and pediatrician said if he can stick it out straight at all then there is not a neurological problem (I am concerned about brain tumors - I have OCD). He has no other symptoms. Good balance, no headaches, goo d natured, language development. Please advice regarding my concern. His 2 year check up is on Sept 2. He turns 2 on August 12.
doctor
Answered by Dr. Eric Goldstein (49 minutes later)
Brief Answer:
Tongue

Detailed Answer:
Hello. I just read through your question.
Though I don't believe for a moment that your son has a brain tumor, I believe the possibility exists that there may be something not right with his neurological system. That doesn't mean there is definitely something wrong. Just that the possibility exists. I'd feel more comfortable if you got the opinion of a pediatric neurologist. Perhaps at you 2 year checkup, you can ask your doctor for a referral to a good pediatric neurologist. Then we can know for sure.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Eric Goldstein (8 minutes later)
He was born with tortocolis. Could this contribute? What's in your differential?
doctor
Answered by Dr. Eric Goldstein (3 minutes later)
Brief Answer:
Follow Up

Detailed Answer:
Sometimes an inability to move the tongue to one side could indicate a problem on the other side. Perhaps (and I'm just speculating), if he had a torticolis to one side, he could theoretically have impinged a nerve controlling tongue movement, preventing movement to one side. A neurologist would be better equipped to make that determination.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Eric Goldstein (6 minutes later)
Ok. Sorta freaking out now. Differential please?
doctor
Answered by Dr. Eric Goldstein (1 minute later)
Brief Answer:
Follow Up

Detailed Answer:
Definitely not worth freaking out over. As long as he is thriving and reaching his milestones, he is fine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Eric Goldstein (1 hour later)
So brain tumor wouldn't present this way? Again, he can put it straight. Pediatrician said there would be other symptoms - not just tongue and straight ability ruled out tumor. Your opinion? In other words it doesn't come out of his mouth crooked and he never bites his tongue. Thank you for your help.
doctor
Answered by Dr. Eric Goldstein (2 days later)
Brief Answer:
Follow up

Detailed Answer:
Correct. Tumor does not present this way.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Eric Goldstein (21 minutes later)
Thank you. That helps. I have made an appointment with a pediatric neurologist as a follow up, but the appointment is one month away.

He has no other health issues but is throwing some pretty good fits - which of course also had me concerned but I think I will look at the fact that he is 2 in 9 days as the potential culprit. The fits are generally in response to not getting what he wants.

How would the tongue be related to a tumor?
doctor
Answered by Dr. Eric Goldstein (0 minute later)
Brief Answer:
Follow up

Detailed Answer:
Though I do not believe this will turn out to be a tumor, theoretically, anything that would put pressure on the nerve that controls tongue movement could cause this.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Eric Goldstein (14 minutes later)
Now I am really scared.

What else could be causing his preference to put his tongue to the left only?
doctor
Answered by Dr. Eric Goldstein (1 minute later)
Brief Answer:
Follow up

Detailed Answer:
I haven't examined him. Your doctor did and said there is nothing to worry about. I accept his opinion.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Eric Goldstein

Pediatrician

Practicing since :1999

Answered : 1303 Questions

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What Causes Inability To Move The Tongue To One Side In Child?

Brief Answer: Tongue Detailed Answer: Hello. I just read through your question. Though I don't believe for a moment that your son has a brain tumor, I believe the possibility exists that there may be something not right with his neurological system. That doesn't mean there is definitely something wrong. Just that the possibility exists. I'd feel more comfortable if you got the opinion of a pediatric neurologist. Perhaps at you 2 year checkup, you can ask your doctor for a referral to a good pediatric neurologist. Then we can know for sure.